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Development Application part 1 of 2 IDAS Forms 1, 6 & Covering Letter - MCU13/0069

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        Table F-premises coordinates (Appropriate for development in remote areas, over part of a lot or in water not
        adjoining or adjacent to land e.g. channel dredging in Moreton Bay.) (Attach a separate schedule if there is insufficient
        space in this table.)

        Coordinates                                                        Zone         Datum             Local government
        (Note: place each set of coordinates in a separate row.)           reference                      area   (if applicable)
        Easting       Northing          Latitude         Longitude

                                                                                         0 GDA94
                                                                                         0 WGS84
                                                                                         0 other
                                                                                                                  .J
                                                                                                                          ~
                                                                                                                              il
                                                                                                                                    ~u   i}t..           ""It
    4. Total area of the premises on which the development is proposed (indicate square metres)
                                                                                                                                                     .




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    3050 m2

    5. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm etc.)


    Park (recreation)and outdoor dining areas




                                                                                                                                               :...r<~
    6. Are there any current approvals (e.g.a preliminary approval) associated with this application? (Non-                                    M;"~4~?!~’~
        mandatory requirement.)                                                                                                                .d: t.
                                                                                                                                         .._
                                                                                                                                               ,~\..’~I.:~l



        ./    No      o      Yes-provide details below

        List of approval reference/s                     Date approved (dd/mm/yy)              Date approval lapses (dd/mm/yy)




    7. Is owner’s consent required for this application? (Refer to notes at the end of this form for more information.)


    o        No


    o Yes-complete either Table G, Table H or Table I as applicable

    Table G

    Name of owner/s of the land


    IlWe, the above-mentioned owner/s of the land, consent to the making of this application.

    Signature of owner/s of the land


    Date


    Table H

    Name of owner/s of the land


    o The owner’s written consent is attached or will be provided separately to the assessment manager


I
    Table I

    Name of owner/s of the land


    4                                                                                                IDAS form 1-Application details
                                                                                                      Version 2.017 December 2012
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